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1760079560
SOPHIA ELOISE MORENO
MERRILLVILLE, IN
NPI
1760079560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: IN 1-20-46517)
Enumeration Date
2020-12-28
Last Update Date
2021-01-22
Business Address
SOPHIA ELOISE MORENO BCBA
8762 LOUISIANA ST STE J
MERRILLVILLE, IN 46410-7190
Phone number: 219-472-0628
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Mailing Address
SOPHIA ELOISE MORENO BCBA
8762 LOUISIANA ST
MERRILLVILLE, IN 46410-7191
Phone number: 219-472-0628
Copy
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